Courageous Love Works Therapy LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COURAGEOUS LOVE WORKS THERAPY LLC

Practice address

1545 N Texas St Ste 201
Fairfield, CA 94533-5623

Phone

(415) 413-8592

NPI assigned

Nov 21, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Executive Director

Title

Director

Phone

(415) 000-0000

Specialties & licenses 6

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mariya Katrina Punay, AMFT APCC

  • Marriage & Family Therapist
  • Novato, CA
  • NPI 1619432085

  Student in an Organized Health Care Education/Training Program

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1033070669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 N TEXAS ST STE 201",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335623",
            "telephone_number": "415-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 N TEXAS ST STE 201",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335623",
            "telephone_number": "415-413-8592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS LOVE WORKS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "DIRECTOR",
        "authorized_official_first_name": "EXECUTIVE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "415-000-0000"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Solano
• County of Solano
• County of Solano
• County of Solano
• County of Solano
• Katelyn Courchaine
• Emery Cowan, LPCC
• Charnel Nicole Craig, LVN
• Rebecca Craner
• Charles Crapotta, MD

• Clinic/Center in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.